Download NSG 6440 NSG6440 Predictor Test Latest Questions and Answers All Are Correct 2025 Update and more Exams Nursing in PDF only on Docsity!
NSG 6440 NSG 6440 Predictor Test Latest
Questions and Answers All Are Correct 20 25
Updated Study Solutions
- A patient with asthma is prescribed albuterol. What is the primary purpose of this medication? A. To reduce inflammation B. To relieve bronchospasm C. To prevent respiratory infections D. To thin secretions
Albuterol is a short-acting beta-agonist (SABA) used to provide quick
relief from acute bronchospasm by relaxing airway smooth muscles.
- A 65-year-old male presents with BPH. Which medication is most appropriate for initial treatment? A. Tadalafil B. Tamsulosin C. Finasteride D. Dutasteride
Tamsulosin is an alpha-1 adrenergic blocker that relaxes bladder neck
muscles, making it easier to urinate and is first-line for symptom relief.
- A 25-year-old female is diagnosed with a UTI. Which antibiotic is most appropriate for uncomplicated cases? A. Amoxicillin B. Nitrofurantoin C. Ciprofloxacin D. Doxycycline
Nitrofurantoin is preferred for uncomplicated lower urinary tract
infections due to minimal resistance and effectiveness against E. coli.
- A patient taking warfarin has an INR of 5.5 with no signs of bleeding. What is the best management? A. Increase the dose B. Continue current dose C. Hold dose and monitor INR D. Give vitamin K IM
Holding the dose temporarily and monitoring INR is appropriate for
asymptomatic elevation; no need for vitamin K unless bleeding is
present.
- A 4-year-old has a barking cough and inspiratory stridor. What is the most likely diagnosis? A. Asthma B. Epiglottitis C. Croup D. Bronchiolitis
C. Bradycardia D. Weight gain
ACE inhibitors commonly cause a persistent dry cough due to increased
bradykinin levels.
- Which of the following vaccines is contraindicated in pregnancy? A. Tdap B. MMR C. Influenza (inactivated) D. Hepatitis B
MMR is a live vaccine and is contraindicated during pregnancy due to
the potential risk to the fetus.
10.What is the first-line treatment for otitis media in a child? A. Azithromycin B. Ciprofloxacin C. Amoxicillin D. Clindamycin
Amoxicillin is the first-line antibiotic for acute otitis media due to its
effectiveness against common pathogens.
11.Which of the following is the most appropriate initial diagnostic test for suspected deep vein thrombosis (DVT)? A. CT angiogram
B. Duplex ultrasonography C. D-dimer D. Venogram
Duplex ultrasound is the first-line, non-invasive imaging modality used
to detect DVT in the extremities.
12.A patient on levothyroxine therapy for hypothyroidism presents with weight loss, palpitations, and insomnia. What is the most likely cause? A. Inadequate dose B. Poor adherence C. Excessive dose D. Drug interaction
Symptoms indicate hyperthyroidism likely caused by an excessive dose
of levothyroxine.
13.What is the most common cause of community-acquired pneumonia in adults? A. Haemophilus influenzae B. Streptococcus pneumoniae C. Mycoplasma pneumoniae D. Legionella pneumophila
Streptococcus pneumoniae is the most frequent bacterial pathogen in
community-acquired pneumonia.
14.Which of the following medications is used as first-line therapy for generalized anxiety disorder?
A. Magnesium level B. Digoxin level C. Sodium level D. Liver enzymes
Signs of digoxin toxicity warrant checking serum digoxin levels
immediately.
18.Which of the following is the best non-pharmacologic intervention for mild to moderate depression? A. Yoga B. Cognitive behavioral therapy C. Massage therapy D. Herbal supplements
CBT has strong evidence supporting its effectiveness in treating mild to
moderate depression.
19.A patient has been taking prednisone long-term. Which condition is he most at risk for? A. Osteoporosis B. Hypoglycemia C. Hyperkalemia D. Increased muscle mass
Chronic corticosteroid use decreases bone mineral density, increasing
the risk for osteoporosis.
20.What is the best test to confirm a diagnosis of diabetes mellitus? A. Random glucose B. Hemoglobin A1C C. C-peptide D. Urine glucose
An A1C ≥6.5% confirms diabetes and reflects average glucose levels
over the past 3 months.
21.Which finding on an EKG suggests hyperkalemia? A. U waves B. Peaked T waves C. Prolonged QT interval D. ST elevation
Tall, peaked T waves are a hallmark EKG change associated with
hyperkalemia.
22.A patient with suspected appendicitis should first receive which diagnostic test? A. MRI B. Abdominal CT scan C. Barium enema D. Upper endoscopy
CT scan is the most sensitive and specific test for diagnosing
appendicitis in adults.
26.What physical exam finding is associated with pericarditis? A. S3 gallop B. Pericardial friction rub C. Rales D. Hepatomegaly
A pericardial friction rub is a classic finding in patients with pericarditis.
27.Which of the following is the most appropriate treatment for acute gout? A. Indomethacin B. Allopurinol C. Probenecid D. Methotrexate
NSAIDs like indomethacin are first-line for acute gout attacks.
28.Which vaccine is recommended annually for all patients over 6 months of age? A. Tetanus B. Influenza C. Hepatitis B D. Varicella
Annual influenza vaccination is recommended for everyone aged 6
months and older.
29.A woman with abnormal uterine bleeding and anemia should first undergo: A. Hysterectomy B. Endometrial biopsy
C. Pap smear D. Pelvic ultrasound
Endometrial biopsy is essential to rule out malignancy in women with
abnormal uterine bleeding.
30.What test confirms a diagnosis of mononucleosis? A. Monospot test B. CBC C. Rapid strep D. ESR
The Monospot test detects heterophile antibodies and is used to
diagnose infectious mononucleosis.
31.Which medication is contraindicated in pregnancy due to teratogenicity? A. Methyldopa B. Isotretinoin C. Labetalol D. Acetaminophen
Isotretinoin is highly teratogenic and absolutely contraindicated in
pregnancy.
32.Which of the following is most indicative of bacterial vaginosis? A. Cottage cheese discharge B. Positive whiff test C. Strawberry cervix D. Thick, green discharge
Avoiding contact sports is critical due to the risk of splenic rupture.
36.Which medication is preferred for treatment-resistant depression? A. Bupropion B. Diazepam C. Hydroxyzine D. Haloperidol
Bupropion is often used as an add-on or alternative treatment in
resistant depression cases.
37.What symptom is most commonly associated with Meniere's disease? A. Vertigo B. Tinnitus only C. Ear pain D. Otitis media
Meniere’s disease causes episodes of vertigo, tinnitus, hearing loss, and
ear fullness.
38.What lab abnormality is associated with chronic alcohol use? A. Elevated BUN B. Elevated GGT C. Low potassium D. High LDL
GGT is often elevated in chronic alcohol use and is a sensitive marker of
liver dysfunction.
39.Which sign suggests meningeal irritation? A. Murphy’s sign B. Tinel’s sign C. Kernig’s sign D. McBurney’s sign
Kernig’s sign indicates meningeal irritation; it is positive when leg
extension causes pain.
40.What class of drugs is first-line for heart failure with reduced ejection fraction? A. Beta-2 agonists B. CCBs C. ACE inhibitors D. Digoxin
ACE inhibitors improve survival and reduce afterload in patients with
systolic heart failure.
41.What is a common side effect of statins? A. Constipation B. Muscle pain C. Rash D. Dizziness
Myalgia is a common side effect that may indicate rhabdomyolysis in
rare cases.
45.Which of the following is a symptom of hyperthyroidism? A. Weight gain B. Heat intolerance C. Bradycardia D. Depression
Hyperthyroidism typically causes heat intolerance, weight loss, and
tachycardia.
46.What condition presents with LLQ pain, fever, and leukocytosis in older adults? A. Appendicitis B. Diverticulitis C. Pancreatitis D. Cholecystitis
Diverticulitis commonly presents with LLQ pain, fever, and elevated
WBCs.
47.Which medication is most effective in smoking cessation therapy? A. Varenicline B. Diazepam C. Clonidine D. Naltrexone
Varenicline (Chantix) has the highest efficacy for smoking cessation.
48.What is the diagnostic test of choice for carpal tunnel syndrome? A. Nerve conduction study
B. Wrist x-ray C. MRI D. Doppler
Nerve conduction studies confirm the diagnosis and severity of carpal
tunnel syndrome.
49.What is the most likely cause of secondary hypertension? A. Essential hypertension B. Renal artery stenosis C. Obesity D. High salt intake
Renal artery stenosis is a common and treatable cause of secondary
hypertension.
50.What is a common adverse effect of long-term PPI use? A. Constipation B. Hyperkalemia C. Vitamin B12 deficiency D. Weight gain
Chronic PPI use can impair absorption of B12, leading to deficiency.
51.Which heart sound is associated with heart failure? A. S B. S
C. Biopsy D. MRI
Simple cysts that are asymptomatic require no treatment and can be
monitored.
55.Which medication is indicated for emergency contraception within 72 hours of unprotected sex? A. Levonorgestrel B. Medroxyprogesterone C. Clomiphene D. Misoprostol
Levonorgestrel (Plan B) is effective for emergency contraception if taken
within 72 hours.
56.A patient reports wrist pain that worsens with thumb movement. What is the likely diagnosis? A. Carpal tunnel B. De Quervain’s tenosynovitis C. Rheumatoid arthritis D. Gout
De Quervain’s is caused by inflammation of the thumb tendons and
worsens with movement.
57.Which cranial nerve is responsible for facial movement? A. CN VII (Facial nerve) B. CN V
C. CN IX
D. CN X
The facial nerve (CN VII) controls facial expression and is commonly
affected in Bell's palsy.
58.What is the initial test for a woman with a breast lump? A. MRI B. Ultrasound C. CT scan D. PET scan
Ultrasound is the first-line imaging for evaluating palpable breast
masses, especially in younger women.
59.Which lab abnormality is expected in SIADH? A. Hypernatremia B. Hyponatremia C. Hyperkalemia D. Hypoglycemia
SIADH causes water retention, leading to dilutional hyponatremia.
60.What is the most effective lifestyle change for lowering blood pressure? A. Weight loss B. Sodium supplementation C. Vitamin D D. Meditation
